Provider Demographics
NPI:1104962745
Name:SAYERS, DOROTHY K (PSYD)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:K
Last Name:SAYERS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 EVERGREEN DR
Mailing Address - Street 2:SUITE 630
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342-1053
Mailing Address - Country:US
Mailing Address - Phone:610-358-2250
Mailing Address - Fax:
Practice Address - Street 1:600 EVERGREEN DR
Practice Address - Street 2:SUITE 630
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-1053
Practice Address - Country:US
Practice Address - Phone:610-358-2250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016001103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1819093OtherBLUE CROSS BLUE SHIELD